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Gastrostomy/Jejunostomy Tube, Standard

Missouri rates for HCPCS B4087

Gastrostomy/jejunostomy tube, standard, any material, any type, each

Rates data updated July 2026.

Facilitymedian $32 · 10th–90th $29$340%50%10th90th$32Professionalmedian $29 · 10th–90th $24$330%20%10th90th$29$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$28.84
Median
$28.84
Typical High
$33.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$28.84
Typical High
$33.11
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$31.62
Median
$31.62
Typical High
$109.65
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$26.30
Typical High
$37.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$18.62
Typical High
$18.62
Medica
Setting
Facility
Modifier
Global
Typical Low
$25.12
Median
$50.12
Typical High
$158.49
Medica
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$28.18
Typical High
$53.70
United
Setting
Facility
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$32.36
United
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$30.20
Typical High
$53.70